Geneva, IL

Bria Of Geneva

3-star overall rating with 4-star inspections with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1101 East State Street, Geneva, IL

(630) 232-7544

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

107

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bria Health Services

Operator or chain grouping

Approved since

2004-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 1 overall / 2 health / 1 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.41

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.81

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.68

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,717

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.40

Baseline 23.77% · Performance 19.79% · Measure score 5.40 · Achievement 3.54 · Improvement 5.40

Healthcare-associated infections

Baseline 4.89% · Performance 7.90% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.11

Baseline 70.17% · Performance 58.33% · Measure score 2.11 · Achievement 1.31 · Improvement 2.11

Adjusted total nurse staffing

1.58

Baseline 2.11 hours · Performance 2.87 hours · Measure score 1.58 · Achievement 0 · Improvement 1.58

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.29%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 88 · Observed rate 7.95% · Lower 95% interval 7.25%
Discharge to community	43.64%	50.57% 6.9 pts worse	No Different than the National Rate · Eligible stays 83 · Observed rate 37.35% · Lower 95% interval 35.54%
Medicare spending per beneficiary	1.29	1.02 0.3 pts worse
Drug regimen review with follow-up	98.46%	95.27% 3.2 pts better	Numerator 64 · Denominator 65
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 65
Discharge self-care score	56.52%	53.69% 2.8 pts better	Numerator 26 · Denominator 46
Discharge mobility score	65.22%	50.94% 14.3 pts better	Numerator 30 · Denominator 46
Pressure ulcers or injuries, new or worsened	4.62%	2.29% 2.3 pts worse	Numerator 3 · Denominator 65 · Adjusted rate 3.82%
Healthcare-associated infections requiring hospitalization	7.9%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 9.26% · Lower 95% interval 4.4%
Staff COVID-19 vaccination coverage	98.92%	8.2% 90.7 pts better	Numerator 92 · Denominator 93
Staff flu vaccination coverage	31.18%	42% 10.8 pts worse	Numerator 53 · Denominator 170
Discharge function score	54.35%	56.45% 2.1 pts worse	Numerator 25 · Denominator 46
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	16.22%	25.2% 9 pts worse	Numerator 6 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.7 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.3 0.9 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	89.6% 7.4 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 96.5% · Q3 98.9% · Q4 97.6% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	91.6% 7.3 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.3% 1.2 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.2% · Q3 4.6% · Q4 7.2% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	99.7%	50.3% 49.4 pts worse	11.4% 88.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents who lose too much weight	6.7%	6.5% 0.2 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 7.6% · Q3 5.6% · Q4 7.2% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.1%	18.5% 3.4 pts better	19.6% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 11.9% · Q3 16.9% · Q4 15.5% · 4Q avg 15.1%
Percentage of long-stay residents who received an antipsychotic medication	33.8%	22.8% 11 pts worse	16.7% 17.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 34.5% · Q3 39.7% · Q4 33.9% · 4Q avg 33.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.0%	17.2% 11.2 pts better	16.3% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.4% · Q3 5.5% · Q4 6.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.0%	15.0% 10 pts better	14.9% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.1% · Q3 4.3% · Q4 5.9% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.7%	21.3% 9.4 pts worse	19.8% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q2 22.3% · Q3 30.5% · Q4 37.2% · 4Q avg 30.7%
Percentage of long-stay residents with pressure ulcers	6.3%	5.2% 1.1 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 4.6% · Q3 8.8% · Q4 4.6% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.6%	68.8% 5.2 pts worse	81.7% 18.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 58.3% · Q2 64.9% · Q3 73.5% · Q4 60.7% · 4Q avg 63.6%
Percentage of short-stay residents who had an outpatient emergency department visit	7.7%	14.0% 6.3 pts better	12.0% 4.3 pts better	Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 8.6% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	2.3% 1.3 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.9%	63.0% 9.9 pts better	79.7% 6.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.8%	26.2% 6.4 pts better	23.9% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 22.4% · Expected 27.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-26 · Fire 2024-06-26

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2023-05-26 · Fire 2023-05-26

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2022-04-13 · Fire 2022-04-13

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-11

F · Potential for more than minimal harm 2024-06-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-26

F · Potential for more than minimal harm 2024-06-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-11

C · Minimal harm 2024-06-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-11

F · Potential for more than minimal harm 2023-05-26

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-05-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-05-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-11

F · Potential for more than minimal harm 2023-05-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-05-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-23

F · Potential for more than minimal harm 2022-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-05

F · Potential for more than minimal harm 2022-04-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-05-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-14

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-05-16

D · Potential for more than minimal harm 2024-09-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-26

D · Potential for more than minimal harm 2024-07-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-28

D · Potential for more than minimal harm 2024-07-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-07-28

F · Potential for more than minimal harm 2024-06-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-28

D · Potential for more than minimal harm 2024-06-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-06-27

E · Potential for more than minimal harm 2023-12-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-23

D · Potential for more than minimal harm 2023-11-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-01

G · Actual harm 2023-09-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-15

F · Potential for more than minimal harm 2023-05-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-06-13

E · Potential for more than minimal harm 2023-05-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-05-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-05-26

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-06-13

E · Potential for more than minimal harm 2023-03-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-02

E · Potential for more than minimal harm 2023-03-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-03-02

F · Potential for more than minimal harm 2022-04-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-07

E · Potential for more than minimal harm 2022-04-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-05-07

E · Potential for more than minimal harm 2022-04-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-05-07

E · Potential for more than minimal harm 2022-04-13

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2022-05-07